Individual provider Active NPI

Cassidy Liland, PH.D.

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1376097931
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
37417 Issued in TX
Practice address
5949 Sherry LN
Suite 752
Dallas, TX 75225-6532
Phone
(214) 890-9880
NPI assigned
Aug 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 37417 TX Primary

Addresses

Primary practice location

5949 Sherry LN
Suite 752
Dallas, TX 75225-6532

Mailing address

5949 Sherry LN
Suite 752
Dallas, TX 75225-6532
Phone (214) 890-9880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
37417TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Miltenberger & Liland PLLC PastSince Aug 30, 2020 Accepting new patients
Paula Miltenberger, PH.D., PA Clinical Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1376097931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5949 SHERRY LN",
            "address_2": "SUITE 752",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256532",
            "telephone_number": "214-890-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5949 SHERRY LN",
            "address_2": "SUITE 752",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256532",
            "telephone_number": "214-890-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILAND",
        "first_name": "CASSIDY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.